Individual provider Active NPI

Stephanie Zachemski

  • Physician Assistant
  • Algonquin, IL
National Provider Identifier
1912704321
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011149 Issued in IL
Practice address
2179 W Algonquin Rd
Algonquin, IL 60102
Phone
(847) 381-0388
NPI assigned
Feb 25, 2025
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011149 IL Primary

Addresses

Primary practice location

2179 W Algonquin Rd
Algonquin, IL 60102

Mailing address

2719 W Algonquin Rd
Algonquin, IL 60102-9400

Other practice location 1

7900 Division St
River Forest, IL 60305-1066
Phone (630) 656-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250418000495 IL Practitioner - Physician Assistant 5890210231 Reassigns benefits to 1 organization
I20250505003217 WI Practitioner - Physician Assistant 5890210231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2101 Waukegan Rd
Bannockburn, IL 60015-1836

2719 W Algonquin Rd
Algonquin, IL 60102-9400
Phone (847) 381-0388

406 Front St
McHenry, IL 60050-5593

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011149ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Mar 31, 2025 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Mar 31, 2025 Accepting new patients

Locations

2719 W Algonquin Rd
Algonquin, IL 60102
Phone (847) 381-0388

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

406 Front St
Ste 100
McHenry, IL 60050
Phone (847) 381-0388

119 Elizabeth Ln
Genoa City, WI 53128
Phone (224) 678-1080

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1912704321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 W ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 W ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "60102",
            "telephone_number": "847-381-0388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Division St",
            "address_purpose": "LOCATION",
            "city": "River Forest",
            "state": "IL",
            "postal_code": "603051066",
            "country_code": "US",
            "telephone_number": "630-656-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACHEMSKI",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "011149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.